Provider Demographics
NPI:1144205386
Name:FAMILY PHARMACY CONCEPTS
Entity type:Organization
Organization Name:FAMILY PHARMACY CONCEPTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:A
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-546-4172
Mailing Address - Street 1:PO BOX 427
Mailing Address - Street 2:PMB 129
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-0427
Mailing Address - Country:US
Mailing Address - Phone:787-826-2545
Mailing Address - Fax:787-826-4022
Practice Address - Street 1:67 CALLE 65 INFANTERIA
Practice Address - Street 2:
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610-2909
Practice Address - Country:US
Practice Address - Phone:787-826-2545
Practice Address - Fax:787-826-4022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-09
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR09-F-16633336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4021680OtherNABP
PR4021680OtherNABP